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Membership Form

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MEMBERSHIP FORM

Black Pearl Chamber Orchestra


□ New Membership For Our Records
□ Renewal
Name________________________________________
I would like to become a Member of the BPCO with a contribution of
$_________ at the membership level below: Address_______________________________________

□ $1,000+ Maestra’s Circle Phone__________________Email__________________


□ $750 Founders’ Society
□ $500 Patron How would you like to be listed in the Program Book?
□ $250 Supporter
□ $75 Member _____________________________________________
□ Pay what you can $_________
□ I would like to remain anonymous.
Benefits are our way of saying thank you for joining the
Black Pearl Chamber Orchestra family. Method of Payment

As a member, you can look forward to: □ Enclosed is my check made payable to the
Black Pearl Chamber Orchestra
$75 Member
 Membership Card offering a 10% discount on Please charge my credit card $___________
two (2) BPCO concert tickets. □Visa □Mastercard □AMX □Discover
 Free download of a live BPCO performance.
 Listing in the BPCO Program Book. Card number___________________________________
Exp._____________Security Code________
$250 Supporter
All above benefits plus, Signature______________________________________
 Invitation to attend a closed BPCO rehearsal for two. Name on card__________________________________
(please print)
$500 Patron (Fair Market Value $70)
All above benefit plus, Give the gift of membership
 Two (2) complimentary tickets to a BPCO performance.
 Priority seating at BPCO concerts. □ Please enroll my friend
$750 Founders’ Society (Fair Market Value $140)
Name (please print)________________________________________
All above benefits plus,
 Acknowledgement in perpetuity as a Founding Member of the
Address________________________________________
BPCO.
 Two (2) additional complimentary tickets to a BPCO performance.
City___________________State______Zip____________
$1,000+ Maestra’s Circle (Fair Market Value $140)
All above benefits plus, Telephone______________Email____________________
 Invitation to attend private home concerts with performances.
by BPCO musicians at beautiful home in and around Philadelphia. □ Please dedicate my membership in honor/memory of:

□ No Benefits, Please _______________________________________

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